物理治疗师的工作相关投诉和疾病 - 在德国建立“物理治疗师队列”（PTC）的方案。
Work-related complaints and diseases of physical therapists - protocol for the establishment of a "Physical Therapist Cohort" (PTC) in Germany.
机构信息
Institute and Policlinic of Occupational and Social Medicine, Medical Faculty, Technical University Dresden, Fetscherstr, 74, D-01307 Dresden, Germany.
出版信息
J Occup Med Toxicol. 2013 Dec 13;8(1):34. doi: 10.1186/1745-6673-8-34.
BACKGROUND
Only few studies deal with the workload of physical therapists and the health consequences, although this occupational group is quite important for the health care system in many industrialized countries (e.g. ca. 136 000 people are currently employed as physical therapists in Germany). Therefore, the current state of knowledge of work-related diseases and disorders of physical therapists is insufficient. The aim of the "Physical Therapist Cohort" (PTC) study is to analyze the association between work-related exposures and diseases among physical therapists in Germany. This article describes the protocol of the baseline assessment of the PTC study.
METHODS/DESIGN: A cross-sectional study will be conducted as baseline assessment and will include a representative random sample of approximately 300 physical therapists employed in Germany (exposure group), and a population-based comparison group (n = 300). The comparison group will comprise a sample of working aged (18-65 years) inhabitants of a German city. Variables of interest will be assessed using a questionnaire manual including questions regarding musculoskeletal, dermal, and infectious diseases and disorders as well as psychosocial exposures, diseases and disorders. In addition to subjective measures, a clinical examination will be used to objectify the questionnaire-based results (n = 50).
DISCUSSION
The study, which includes extensive data collection, provides a unique opportunity to study the prospective association of work-related exposures and associated complaints of physical therapists. Baseline results will give first clues with regard to whether and how prevalent main exposures of physiotherapeutic work and typical work areas of physical therapists are associated with the development of work-related diseases. Thereby, this baseline assessment provides the basis for further investigations to examine causal relationships in accordance with a longitudinal design.
背景
尽管物理治疗师在许多工业化国家的医疗保健系统中非常重要（例如，目前在德国约有 136,000 人从事物理治疗师工作），但仅有少数研究涉及他们的工作量和健康后果。因此，目前对与工作相关的疾病和物理治疗师职业疾病的了解还不够。“物理治疗师队列”（PTC）研究的目的是分析德国物理治疗师与工作相关的暴露和疾病之间的关联。本文介绍了 PTC 研究基线评估的方案。
方法/设计：作为基线评估，将进行一项横断面研究，其中包括德国约 300 名受雇的物理治疗师（暴露组）的代表性随机样本，以及一个基于人群的对照组（n=300）。对照组将包括德国一个城市中处于工作年龄（18-65 岁）的居民样本。使用包括肌肉骨骼、皮肤和传染病以及心理社会暴露、疾病和障碍问题的问卷手册评估感兴趣的变量。除了主观测量外，还将使用临床检查来客观化基于问卷的结果（n=50）。
讨论
该研究包括广泛的数据收集，为研究物理治疗师与工作相关的暴露和相关投诉的前瞻性关联提供了独特的机会。基线结果将首先提供线索，了解物理治疗工作的主要暴露和物理治疗师的典型工作领域是否以及如何与与工作相关的疾病的发展相关。因此，该基线评估为进一步研究提供了依据，以便根据纵向设计检查因果关系。
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